Add New Row Edit ElementClone ElementAdvanced Element OptionsMoveRemove Element [text_block style=”style_1.png” align=”left”] Step 1 of 10 – Instructions 0% The Transportation Guys PLEASE ANSWER ALL THE QUESTIONS ON THE APPLICATIONS – DO NOT SEND ANY MEDICAL INFORMATION WITH THIS APPLICATION. Read and follow all instructions carefully. VERY IMPORTANT! The section entitled “Employment Record” must be completed correctly. You must list all employers, schools, military service and all periods of self-employment or unemployment for the most recent 10 full years. Dates, phone numbers and addresses must be correct with no period of time unaccounted for in the last 10 years. In the section entitled “Driver’s License” list all licenses held in the past seven (7) years. In the section entitled “Traffic Convictions and Forfeitures” and “Accident Record,” list all tickets and forfeitures and all accidents in the past three (3) years. List all accidents regardless of fault, severity or motor vehicle type, be it personal vehicle or business vehicle. We will check your motor vehicle report for the past 10 years, so please be accurate. Any offer of employment will be conditioned upon successfully completing: a DOT physical and company medical screening; drug screen; criminal background check and company road test. To speed up the interview process, please have COPIES of the following documents: Class A CDL Motor Vehicle Report (driving record) Accident Report (if accident occurred in the last 3 years) DD214 (if prior military service within the past 5 years) School Certificate and Transcripts (if attended in the past 3 years) Verification of Employment (pay records or professional references*) Verification of Self-Employment (tax records or professional references*) W-2 Forms (if employed by a company that has gone out of business) (*Professional references: Doctor, Attorney, Minister, Judge, etc) Driver Qualification Application Note: Please answer or check all questions. If the answer to any question is “No” or “None,” do not leave the item blank, indicate “No” or “None.” This application will not be considered unless complete. Date* Today’s Date Applicant’s name* First Middle Last Applicant’s Email* Enter Email Confirm Email Your email address Are you a US Citizen?* Yes No Are you authorized to work in the United States?* Yes No If you are a resident alien, please give your alien number from your Resident Alien Card, Form I-551* Have you ever applied to be qualified as a driver by THE TRANSPORTATION GUYS?* Yes No If so, when?* How did you first learn of THE TRANSPORTATION GUYS?* Please selectIndeedCareerbuilderCraigslistFacebookLinkedInFellow DriverRelativeOne of Our CustomersFree TrainingOther If other, how?* PLEASE READ CAREFULLY Have you EVER been denied a license, permit, or privilege to operate a motor vehicle?* Yes No Has your motor vehicle operator’s license, permit, or privilege been suspended or revoked?* Yes No Have you EVER been disqualified from driving a motor vehicle under the DOT regulations?* Yes No Have you EVER been convicted for driving under the influence of alcohol or drugs?* Yes No Have you EVER been convicted of a possession, sale, or use of a controlled substance?* Yes No If so, when?* Have you EVER been convicted of a serious traffic violation, such as careless or reckless driving or willful reckless driving, etc?* Yes No Pursuant to DOT regulations have you, within the three (3) years preceding the date of this application: Undergone an alcohol test in which a concentration of 0.04 or greater has been indicated?* Yes No Undergone a controlled substance test in which a positive result has been verified?* Yes No Refused to undergo either an alcohol or drug test or had an adulterated or substituted drug test verified?* Yes No Had any other violations of Federal Motor Carrier Safety Administration drug or alcohol regulations?* Yes No Successfully completed return-to-duty requirements following violation of a DOT drug or alcohol regulation?* This includes all DOT regulated alcohol and drug testing including any pre-employment testing. Yes No If you answered “Yes” to any of these questions, please provide detail, including dates.* Employment Record For The Past 10 Years Begin with your current or most recent job and work backwards in order, listing your employers and any periods of unemployment for at least 10 years including all full and part-time employment. All time must be accounted for, including military service, school, self-employment, and periods of unemployment. Number of previous jobs, including your current one* Please enter a value between 1 and 10. Current Or Last Employer From* To* Present Employer Present Company name* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number* Position held* What type of power unit?* Day Cab Sleeper Day Cab & Sleeper N/A What type of transmission?* Automatic 9 Speed 10 Speed Super 10 13 Speed 15 Speed 18 Speed N/A What size of trailer did you pull? 24′ 48′ 53′ Other Other trailer size* What type of trailer have you pulled?* Dry Van Reefer Flat Bed Step Down Low Boy Curtain Side Doubles End Dump Roll Off Tanker Belly Dump Belt Trailer Container Car Hauler Live Stock Side Dump Traveling Axel Traveling Tail Other Other trailer type* Areas in which you drove* What type of deliveries have you done?* Local Regional Over The Road LTL Shuttle N/A How many stops did you do a day?* 1 to 3 4 to 7 8 to 12 13 to 17 18 to 22 Shuttle Who did you deliver to?* Warehouse/Distribution centers Retail Outlets End Users N/A How did you log your day?* Manual Log Electronic Logging System N/A Reason for leaving* Starting wage* Ending wage* How were you paid?* Per Hour Per Mileage By Percentage of the Load Other Other how paid* Satellite communication* Yes No Were you subject to DOT regulations while working for this employer?* Yes No Were you required to perform safety sensitive functions (such as driving) subject to DOT drug and alcohol testing?* Yes No Second Last Employer From* To* Present Employer Present Company name* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number* Position held* What type of power unit?* Day Cab Sleeper Day Cab & Sleeper N/A What type of transmission?* Automatic 9 Speed 10 Speed Super 10 13 Speed 15 Speed 18 Speed N/A What size of trailer did you pull?* 24′ 48′ 53′ Other Other trailer size* What type of trailer have you pulled?* Dry Van Reefer Flat Bed Step Down Low Boy Curtain Side Doubles End Dump Roll Off Tanker Belly Dump Belt Trailer Container Car Hauler Live Stock Side Dump Traveling Axel Traveling Tail Other Other trailer type* Areas in which you drove* What type of deliveries have you done?* Local Regional Over The Road LTL Shuttle N/A How many stops did you do a day?* 1 to 3 4 to 7 8 to 12 13 to 17 18 to 22 Shuttle Who did you deliver to?* Warehouse/Distribution centers Retail Outlets End Users N/A How did you log your day?* Manual Log Electronic Logging System N/A Reason for leaving* Starting wage Ending wage How were you paid?* Per Hour Per Mileage By Percentage of the Load Other Other how paid* Satellite communication* Yes No Were you subject to DOT regulations while working for this employer?* Yes No Were you required to perform safety sensitive functions (such as driving) subject to DOT drug and alcohol testing?* Yes No Third Last Employer From* To* Present Employer Present Company name* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number* Position held* What type of power unit?* Day Cab Sleeper Day Cab & Sleeper N/A What type of transmission?* Automatic 9 Speed 10 Speed Super 10 13 Speed 15 Speed 18 Speed N/A What size of trailer did you pull?* 24′ 48′ 53′ Other Other trailer size* What type of trailer have you pulled?* Dry Van Reefer Flat Bed Step Down Low Boy Curtain Side Doubles End Dump Roll Off Tanker Belly Dump Belt Trailer Container Car Hauler Live Stock Side Dump Traveling Axel Traveling Tail Other Other trailer type* Areas in which you drove* What type of deliveries have you done?* Local Regional Over The Road LTL Shuttle N/A How many stops did you do a day?* 1 to 3 4 to 7 8 to 12 13 to 17 18 to 22 Shuttle Who did you deliver to?* Warehouse/Distribution centers Retail Outlets End Users N/A How did you log your day?* Manual Log Electronic Logging System N/A Reason for leaving* Starting wage Ending wage How were you paid?* Per Hour Per Mileage By Percentage of the Load Other Other how paid* Satellite communication* Yes No Were you subject to DOT regulations while working for this employer?* Yes No Were you required to perform safety sensitive functions (such as driving) subject to DOT drug and alcohol testing?* Yes No Fourth Last Employer From* To* Present Employer Present Company name* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number* Position held* What type of power unit?* Day Cab Sleeper Day Cab & Sleeper N/A What type of transmission?* Automatic 9 Speed 10 Speed Super 10 13 Speed 15 Speed 18 Speed N/A What size of trailer did you pull?* 24′ 48′ 53′ Other Other trailer size* What type of trailer have you pulled?* Dry Van Reefer Flat Bed Step Down Low Boy Curtain Side Doubles End Dump Roll Off Tanker Belly Dump Belt Trailer Container Car Hauler Live Stock Side Dump Traveling Axel Traveling Tail Other Other trailer type* Areas in which you drove* What type of deliveries have you done?* Local Regional Over The Road LTL Shuttle N/A How many stops did you do a day?* 1 to 3 4 to 7 8 to 12 13 to 17 18 to 22 Shuttle Who did you deliver to?* Warehouse/Distribution centers Retail Outlets End Users N/A How did you log your day?* Manual Log Electronic Logging System N/A Reason for leaving* Starting Wage Ending Wage How were you paid?* Per Hour Per Mileage By Percentage of the Load Other Other how paid* Satellite communication* Yes No Were you subject to DOT regulations while working for this employer?* Yes No Were you required to perform safety sensitive functions (such as driving) subject to DOT drug and alcohol testing?* Yes No Fifth Last Employer From* To* Present Employer Present Company name* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number* Position held* What type of power unit?* Day Cab Sleeper Day Cab & Sleeper N/A What type of transmission?* Automatic 9 Speed 10 Speed Super 10 13 Speed 15 Speed 18 Speed N/A What size of trailer did you pull?* 24′ 48′ 53′ Other Other trailer size* What type of trailer have you pulled?* Dry Van Reefer Flat Bed Step Down Low Boy Curtain Side Doubles End Dump Roll Off Tanker Belly Dump Belt Trailer Container Car Hauler Live Stock Side Dump Traveling Axel Traveling Tail Other Other trailer type* Areas in which you drove* What type of deliveries have you done?* Local Regional Over The Road LTL Shuttle N/A How many stops did you do a day?* 1 to 3 4 to 7 8 to 12 13 to 17 18 to 22 Shuttle Who did you deliver to?* Warehouse/Distribution centers Retail Outlets End Users N/A How did you log your day?* Manual Log Electronic Logging System N/A Reason for leaving* Starting Wage Ending Wage How were you paid?* Per Hour Per Mileage By Percentage of the Load Other Other how paid* Satellite communication* Yes No Were you subject to DOT regulations while working for this employer?* Yes No Were you required to perform safety sensitive functions (such as driving) subject to DOT drug and alcohol testing?* Yes No Sixth Last Employer From* To* Present Employer Present Company name* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number* Position held* What type of power unit?* Day Cab Sleeper Day Cab & Sleeper N/A What type of transmission?* Automatic 9 Speed 10 Speed Super 10 13 Speed 15 Speed 18 Speed N/A What size of trailer did you pull?* 24′ 48′ 53′ Other Other trailer size* What type of trailer have you pulled?* Dry Van Reefer Flat Bed Step Down Low Boy Curtain Side Doubles End Dump Roll Off Tanker Belly Dump Belt Trailer Container Car Hauler Live Stock Side Dump Traveling Axel Traveling Tail Other Other trailer type* Areas in which you drove* What type of deliveries have you done?* Local Regional Over The Road LTL Shuttle N/A How many stops did you do a day?* 1 to 3 4 to 7 8 to 12 13 to 17 18 to 22 Shuttle Who did you deliver to?* Warehouse/Distribution centers Retail Outlets End Users N/A How did you log your day?* Manual Log Electronic Logging System N/A Reason for leaving* Starting Wage Ending Wage How were you paid?* Per Hour Per Mileage By Percentage of the Load Other Other how paid* Satellite communication* Yes No Were you subject to DOT regulations while working for this employer?* Yes No Were you required to perform safety sensitive functions (such as driving) subject to DOT drug and alcohol testing?* Yes No Seventh Last Employer From* To* Present Employer Present Company name* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number* Position held* What type of power unit?* Day Cab Sleeper Day Cab & Sleeper N/A What size of trailer did you pull?* 24′ 48′ 53′ Other Other trailer size* What type of transmission?* Automatic 9 Speed 10 Speed Super 10 13 Speed 15 Speed 18 Speed N/A What type of trailer have you pulled?* Dry Van Reefer Flat Bed Step Down Low Boy Curtain Side Doubles End Dump Roll Off Tanker Belly Dump Belt Trailer Container Car Hauler Live Stock Side Dump Traveling Axel Traveling Tail Other Other trailer type* Areas in which you drove* What type of deliveries have you done?* Local Regional Over The Road LTL Shuttle N/A How many stops did you do a day?* 1 to 3 4 to 7 8 to 12 13 to 17 18 to 22 Shuttle Who did you deliver to?* Warehouse/Distribution centers Retail Outlets End Users N/A How did you log your day?* Manual Log Electronic Logging System N/A Reason for leaving* Starting wage?* Ending wage?* How were you paid?* Per Hour Per Mileage By Percentage of the Load Other Other how paid* Satellite communication* Yes No Were you subject to DOT regulations while working for this employer?* Yes No Were you required to perform safety sensitive functions (such as driving) subject to DOT drug and alcohol testing?* Yes No Eighth Last Employer From* To* Present Employer Present Company name* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number* Position held* What type of power unit?* Day Cab Sleeper Day Cab & Sleeper N/A What type of transmission?* Automatic 9 Speed 10 Speed Super 10 13 Speed 15 Speed 18 Speed N/A What size of trailer did you pull?* 24′ 48′ 53′ Other Other trailer size* What type of trailer have you pulled?* Dry Van Reefer Flat Bed Step Down Low Boy Curtain Side Doubles End Dump Roll Off Tanker Belly Dump Belt Trailer Container Car Hauler Live Stock Side Dump Traveling Axel Traveling Tail Other Other trailer type* Areas in which you drove* What type of deliveries have you done?* Local Regional Over The Road LTL Shuttle N/A How many stops did you do a day?* 1 to 3 4 to 7 8 to 12 13 to 17 18 to 22 Shuttle Who did you deliver to?* Warehouse/Distribution centers Retail Outlets End Users N/A How did you log your day?* Manual Log Electronic Logging System N/A Reason for leaving* Starting wage Ending wage How were you paid?* Per Hour Per Mileage By Percentage of the Load Other Other how paid* Satellite communication* Yes No Were you subject to DOT regulations while working for this employer?* Yes No Were you required to perform safety sensitive functions (such as driving) subject to DOT drug and alcohol testing?* Yes No Ninth Last Employer From* To* Present Employer Present Company name* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number* Position held* What type of power unit?* Day Cab Sleeper Day Cab & Sleeper N/A What type of transmission?* Automatic 9 Speed 10 Speed Super 10 13 Speed 15 Speed 18 Speed N/A What size of trailer did you pull?* 24′ 48′ 53′ Other Other trailer size* What type of trailer have you pulled?* Dry Van Reefer Flat Bed Step Down Low Boy Curtain Side Doubles End Dump Roll Off Tanker Belly Dump Belt Trailer Container Car Hauler Live Stock Side Dump Traveling Axel Traveling Tail Other Other trailer type* Areas in which you drove* What type of deliveries have you done?* Local Regional Over The Road LTL Shuttle N/A How many stops did you do a day?* 1 to 3 4 to 7 8 to 12 13 to 17 18 to 22 Shuttle Who did you deliver to?* Warehouse/Distribution centers Retail Outlets End Users N/A How did you log your day?* Manual Log Electronic Logging System N/A Reason for leaving* Starting Wage Ending Wage How were you paid?* Per Hour Per Mileage By Percentage of the Load Other Other how paid* Satellite communication* Yes No Were you subject to DOT regulations while working for this employer?* Yes No Were you required to perform safety sensitive functions (such as driving) subject to DOT drug and alcohol testing?* Yes No Tenth Last Employer From* To* Present Employer Present Company name* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number* Position held* What type of power unit?* Day Cab Sleeper Day Cab & Sleeper N/A What type of transmission?* Automatic 9 Speed 10 Speed Super 10 13 Speed 15 Speed 18 Speed N/A What size of trailer did you pull?* 24′ 48′ 53′ Other Other trailer size* What type of trailer have you pulled?* Dry Van Reefer Flat Bed Step Down Low Boy Curtain Side Doubles End Dump Roll Off Tanker Belly Dump Belt Trailer Container Car Hauler Live Stock Side Dump Traveling Axel Traveling Tail Other Other trailer type* Areas in which you drove* What type of deliveries have you done?* Local Regional Over The Road LTL Shuttle N/A How many stops did you do a day?* 1 to 3 4 to 7 8 to 12 13 to 17 18 to 22 Shuttle Who did you deliver to?* Warehouse/Distribution centers Retail Outlets End Users N/A How did you log your day?* Manual Log Electronic Logging System N/A Reason for leaving* Starting Wage Ending Wage How were you paid?* Per Hour Per Mileage By Percentage of the Load Other Other how paid* Satellite communication* Yes No Were you subject to DOT regulations while working for this employer?* Yes No Were you required to perform safety sensitive functions (such as driving) subject to DOT drug and alcohol testing?* Yes No General Driving Record The number of years you have driven trucks for* The mileage you have covered in that time* During that time, what states have you regularly driven in?* The date of your last commercial vehicle accident The mileage you have covered since your last accident* Safe Driving Awards Have you received any Awards?* Yes No What awards have you received?* Date Kind of award Presented by While employed by In recognition of Education/Training List driver training courses or driving schools attended: School name* School address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code School start date* School graduation date* Languages Can you read English?* Yes No Can you speak English?* Yes No Can you write English?* Yes No Driving Eligibility Driver’s licenses* List all driver’s licenses held in the past seven years. Click the + to add another row. State License number Class Expiration date What type of endorsements do you have? T – Double/Triple Trailers Endorsement P – Passenger Endorsement N – Tank Vehicle Endorsement H – Hazardous Materials Endorsement X – Combination of Tank Vehicle and Hazardous Material Endorsement None Other names Last name First name Middle name If you have held a driver’s license in any other name within the last 10 years, please provide the other name(s): Traffic convictions and forefeitures List your traffic convictions and forfeitures for the last three years, except parking violations. Includes on-duty or off-duty and while in either a commercial or personal vehicle. Speeding convictions must include how fast you were going, in mph. Click the + button to add another row Date City/State Charge Penalty Traffic convictions None List all accidents within the past three years regardless whether it involved a commercial or personal vehicle. Include all preventable and non-preventable accidents and any that involved property damage. You must include: • The date of the incident, • The type of vehicle, • The nature of the accident (head-on, read-end etc.) • Whether it was preventable or not • Whether hazardous material was involved • Whether there were any fatalities or injuries, although you do not need to describe them • The amount of property damage • The city or state in which the accident happened • Your employer at the time Number of accidents Please enter a value between 0 and 5. First Accident Accidents Date Vehicle type Nature of accident Amount of property damage City/State Employer Preventable?* Yes No Hazardous material?* Yes No Injuries?* Yes No Fatalities?* Yes No Second Accident Accidents Date Vehicle type Nature of accident Amount of property damage City/State Employer Preventable?* Yes No Hazardous material?* Yes No Injuries?* Yes No Fatalities?* Yes No Third Accident Accidents Date Vehicle type Nature of accident Amount of property damage City/State Employer Preventable?* Yes No Hazardous material?* Yes No Injuries?* Yes No Fatalities?* Yes No Fourth Accident Accidents Date Vehicle type Nature of accident Amount of property damage City/State Employer Preventable?* Yes No Hazardous material?* Yes No Injuries?* Yes No Fatalities?* Yes No Fifth Accident Accidents Date Vehicle type Nature of accident Amount of property damage City/State Employer Preventable?* Yes No Hazardous material?* Yes No Injuries?* Yes No Fatalities?* Yes No Physical Requirements Do you have a current DOT physical certificate?* Yes No Medical Card What is the name of your doctor?* What is the address of your doctor?* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Exam date* Expiration date* Job Analysis Requirements Are you able to complete written logs and time sheets?* Yes No Are you able to physically conduct pre-trip inspections of a tractor and trailer?* Yes No Are you able to physically make and break double trailer (if doubles certified)?* Yes No Do you have a current TWIC card?* Yes No Personal Current Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Duration* How long have you lived at this address? All addresses you have maintained during the past three years other than your present address Street City State Zip Duration List 3 Personal ReferencesDo not include relatives or past employers. Personal Reference 1* Name Address Phone Occupation Personal Reference 2* Name Address Phone Occupation Personal Reference 3* Name Address Phone Occupation Job Analysis Position Title: Semi-Tractor Driver Department: Driver Services Reports to: Operations Job Summary: Position requires a Medical Examiners Certificate as required under Sub-part E, section 391 of the Federal Motor Carriers Safety Regulations. NOTE: PERFORMANCE OF ALL WORK TASK AND JOB ACTIVITIES ARE SUBJECT TO HIGH ALTITUDE ENVIRONMENTS, FROM SEA LEVEL TO ELEVATIONS GREATER THAN 10,000 FEET. Position requires the physical demand(s) of continuous sitting for periods up to 10 hours, in the seat and cab of a tractor (truck) during various weather and altitude (mountain elevations) driving conditions. Position requires the physical demand(s) of occasional walking, kneeling, squatting, stooping, reaching, grasping, pushing, pulling, and climbing, as necessary to enter/exit a truck cab and trailer cargo area and perform equipment inspections as required under Part 396 of the Federal Motor Carrier Safety Regulations. Position requires the physical demand(s) of occasional walking, bending, crouching, reaching, grasping, rotating or lifting, pulling and pushing wheeled equipment with tongue weight(s) up to 128 pounds, a distance of 1 – 5 feet, as required to perform the essential function(s) of coupling or uncoupling multiple trailer combinations. Position requires the physical demand(s) of occasional walking, standing, bending, crouching, squatting, grasping, reaching, rotating and lifting/carrying up to 75 pounds. This may also include lifting above the shoulder and head level. The essential function(s), include but are not limited to, monitoring loading and unloading activity, handling and securing cargo or installing safety devices (tire chains) as required by the Federal Motor Carriers Safety Regulations. Position requires the physical demand on wrist pronation and supination as necessary to operate commercial motor vehicle controls. Equipment / Tools: Equipment – Tractor-trailer, tractor controls, fifth-wheel and trailer slider release, trailer landing gear, congear (dolly), hand-truck, forklift, manual and power pallet-jack, freight cart, load locks, chain(s) Tools – fifth wheel and trailer-slider pull tool(s), hand tool(s), rope, computer keyboard, pen, map(s), calculator, logbook Work Environment: Position is subject to irregular work schedules, occasional temperature and weather extremes, long trips, short notice for trip assignments, tight delivery schedules, delays enroute and other stresses and fatigue related to driving a large commercial motor vehicle on crowded streets and highways. Noise intensity level(s) is mild, which are normal decibels for outdoor or indoor work. Performance Dimensions and Essential Task: The job analysis group essential functions and task by domain. The following scale defines percentage of workday for each domain as occasional, frequently and continuously and indicates the limits of weight(s) lifted/carried or for exerted (in pounds). Rating Occasional Frequently Constantly % of WORK DAY 1 – 33 % 34 – 60 % 67 – 100 % Sedentary 0 – 10 lbs 0 0 Light 0 – 20 lbs 0 – 10 lbs 0 Medium 20 – 50 lbs 10 – 25 lbs 1 – 10 lbs Heavy 50 – 100 lbs 25 – 50 lbs 10 – 20 lbs Very Heavy 128 lbs* 50 lbs 20 lbs The Semi- Tractor Driver Job is defined as HEAVY for STRENGTH. * Doubles All driver candidates seeking employment with THE TRANSPORTATION GUYS, Inc must be physically able to perform the essential job functions listed in the driver’s job analysis. [/text_block] [text_block style=”style_1.png” align=”left”][/text_block] Add Element
